Provider Demographics
NPI:1316213051
Name:HILL COUNTRY CONVENIENT FAMILY HEALTHCARE LLC
Entity Type:Organization
Organization Name:HILL COUNTRY CONVENIENT FAMILY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP MAMAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-260-1803
Mailing Address - Street 1:18419 CROSSTIMBER
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4526
Mailing Address - Country:US
Mailing Address - Phone:210-912-2020
Mailing Address - Fax:830-331-8013
Practice Address - Street 1:18419 CROSSTIMBER
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4526
Practice Address - Country:US
Practice Address - Phone:210-912-2020
Practice Address - Fax:830-331-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2297207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty